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Article citations


Sicklick, J.K., Camp, M.S., Lillemoe, K.D., Melton, G.B., Yeo, C.J., Campbel, K.A., et al. (2005) Surgical Management of Bile Duct Injuries Sustained during Laparoscopic Cholecystectomy. Annals of Surgery, 241, 786-795.

has been cited by the following article:

  • TITLE: Conversion Rate of Laparoscopic Cholecystectomy to Open Surgery at Al Karamah Teaching Hospital, Iraq

    AUTHORS: Basim Jasim Abdulhussein, Yarub Fadhil Hussein, Abdulsalam Hatem Nawar, Redhwan Ahmed Al-Naggar

    KEYWORDS: Gall Bladder, Laparoscopy, Cholecystectomy, Open Surgery

    JOURNAL NAME: Surgical Science, Vol.6 No.5, May 26, 2015

    ABSTRACT: Background: Laparoscopic cholecystectomy has become the standard treatment for symptomatic gall bladder disease. However, there still a substantial proportion of patients in whom Laparoscopic cholecystectomy cannot be successfully performed, and for whom conversion to open surgery is required. Method: In this study, 1600 laparoscopic cholecystectomy performed at Al karamah teaching hospital from January 2010 to January 2015, were prospectively analyzed. The patients studied included 1600, 1245 where females (78.4%) and 346 where males (21.6%) with a mean age of 41.2 years. From the data collected, only factors available to surgeon preoperatively were considered for analysis. These factors included: age, gender, history of acute Cholecystitis, jaundice, previous abdominal surgery, obesity and concomitant disease, ultrasound preoperatively & ERCP. Results: Of the 1600 patients in whom Laparoscopic cholecystectomy was attempted 56 patients (3.5%) required conversion to open surgery. The most common reason for conversion was difficult to define anatomy in patients with inflamed, contracted gall bladder (n = 42). Significant predictor factors for conversion were male gender, previous abdominal surgery, acute Cholecystitis, and obesity. Conclusion: An appreciation for these predictors for conversion will allow appropriate planning by the patient, the institution and the surgeon.